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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005540
Report Date: 09/25/2020
Date Signed: 09/25/2020 02:30:07 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:TLC PRESCHOOLFACILITY NUMBER:
372005540
ADMINISTRATOR:MARY ANN MICHLANSKIFACILITY TYPE:
850
ADDRESS:11240 CLAIREMONT MESA BLVD.TELEPHONE:
(858) 292-7446
CITY:SAN DIEGOSTATE: CAZIP CODE:
92124
CAPACITY:12CENSUS: 9DATE:
09/25/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Mary Ann MichlanskiTIME COMPLETED:
10:00 AM
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On 9/25/20 Licensing Program Analyst Michael Morales-DeSilvestore conducted a licensee initiated case-management tele-visit for the purpose of inspecting the new playground. Playground renovations did not alter playground square footage. Playground play equipment is age appropriate. Playground is approved for use.


The Director will confirm receipt of this report and appeal rights via e-mail and the reply of confirmation will serve as the signature acknowledging these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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